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TSHUAJ ZOO  NTShAV. QAB ZIB
Daim Duab: TSHUAJ ZOO NTShAV. QAB ZIB

Zoo Siab

Ntshav qab zib nephropathy yog dab tsi?

Nees mob rau raum, lossis mob raum, yog cov teeb meem nyhav tshaj plaws rau coob leej neeg muaj ntshav qab zib. Nws yog qhov ua rau lub raum tsis ua tiav nyob rau Tebchaws Meskas.

Raws li National National raum Foundation, ntau dua li 660,000 tus neeg Asmeskas muaj kab mob hauv raum-theem thiab tau nyob los ntawm txoj kev lim ntshav.

Cov leeg ntshav muaj ob peb yam tshwm sim thaum ntxov los sis pom cov cim, zoo ib yam li lwm yam kab mob cuam tshuam nrog ntshav qab zib hom 2. Kev puas tsuaj rau lub raum los ntawm nephropathy tuaj yeem tshwm sim ntev li ib xyoo caum ua ntej thawj cov tsos mob tshwm sim.

Cov tsos mob ntawm tus mob nephropathy

Feem ntau, tsis muaj cov tsos mob ntawm lub raum tshwm sim txog thaum lub raum tsis ua haujlwm zoo lawm. Cov tsos mob uas qhia tias koj lub raum yuav nyob nrog qhov txaus ntshai yog:

  • kua ceev rov qab muaj
  • o ntawm cov taw, pob taws, thiab ceg
  • tus tsis qab los noj mov
  • zoo nkaus li sab sab thiab qaug zog feem ntau
  • mob taub hau heev
  • mob plab
  • xeev siab
  • ntuav
  • insomnia
  • teeb meem kev xav

Muaj yam pheej hmoo rau ntshav qab zib mob nephropathy

Kev paub thaum ntxov ntawm lub raum mob yog qhov tseem ceeb rau kev saib xyuas kev noj qab haus huv. Yog tias koj muaj ntshav qab zib, ntshav qab zib hom 2, lossis lwm yam kev paub txog ntshav qab zib, koj lub raum twb ua haujlwm dhau lawm thiab lawv txoj haujlwm yuav tsum kuaj txhua xyoo.


Dhau li ntawm ntshav qab zib, lwm yam kev pheej hmoo rau mob raum yog:

  • kev tswj tsis txhob muaj ntshav siab
  • kev tswj ntshav tsis pom qab zoo
  • rog dhau
  • cov roj (cholesterol) siab
  • tsev neeg muaj keeb kwm mob raum
  • tsev neeg muaj keeb kwm mob plawv
  • luam yeeb
  • hnub nyoog siab heev

Muaj ntau dua cov mob raum ntau dua muaj:

  • Neeg Asmeskas Dub
  • Miskas Khab
  • Cov neeg Asmeskas haiv neeg
  • Hmoob Asmeskas

Ua rau muaj ntshav qab zib mob nephropathy

Kab mob hauv lub raum tsis muaj tib qho tshwj xeeb xwb. Cov kws tshaj lij ntseeg tias nws txoj kev txhim kho zoo li yuav cuam tshuam nrog xyoo uas tsis tuaj yeem tswj cov ntshav ntshav hauv lub ntsej muag. Lwm qhov cuam tshuam yuav ua lub luag haujlwm tseem ceeb, xws li kev xav tau ntawm caj ces.

Lub raum yog qhov uas lub cev lim ntshav tau tshaj tawm. Txhua qhov yog tsim los ntawm ntau pua txhiab tus nephrons uas ntxuav cov ntshav ntawm cov pov tseg.

Ntev mus, tshwj xeeb tshaj yog thaum ib tus neeg muaj ntshav qab zib hom 2, ob lub raum ua haujlwm dhau vim tias lawv ib txwm tshem cov piam thaj hauv cov ntshav tawm mus. Lub nephrons ua rau kub siab thiab ntuag, thiab lawv tsis ua haujlwm ib yam nkaus.


Tsis ntev, cov ntshav ntawm lub cev tsis tuaj yeem hnoos lub cev cov ntshav ntxiv lawm. Cov khoom uas yuav ib txwm tshem tawm ntawm cov ntshav, xws li cov protein, kis mus rau hauv cov zis.

Ntau ntawm cov khoom tsis haum yog cov protein hu ua albumin. Koj lub cev cov ntshav muaj ntshav ntau npaum li cas tuaj yeem raug sim hauv qhov ntsuas zis kom pab txiav txim siab seb koj lub raum ua haujlwm li cas.

Ib qho me me ntawm cov albumin hauv cov zis yog xa mus rau microalbuminuria. Thaum cov kab mob albumin loj dua nyob hauv cov zis, tus mob hu ua macroalbuminuria.

Kev phom sij ntawm lub raum tsis ua haujlwm yog ntau dua nrog macroalbuminuria, thiab cov mob raum ntu kawg (ESRD) yog qhov muaj pheej hmoo. Kev kho rau ERSD yog lim ntshav, lossis tso ntshav tawm ntawm lub tshuab thiab nqus rov qab rau hauv koj lub cev.

Tiv thaiv kev mob ntshav qab zib nephropathy

Cov hauv kev tseem ceeb los tiv thaiv kev mob ntshav qab zib muaj xws li cov hauv qab no:

Kev noj haus

Txoj hauv kev zoo tshaj rau kev tiv thaiv raum yog saib koj cov zaub mov kom zoo. Cov neeg mob ntshav qab zib uas muaj raum li raum cov haujlwm yuav tsum tau ceev faj ntxiv txog kev tswj:


  • noj ntshav qabzib
  • ntshav cov roj
  • lipid qib

Tswj ntshav siab ntawm qis dua 130/80 kuj yog qhov tseem ceeb. Txawm hais tias koj muaj mob raum me, nws yuav ua rau mob loj dua los ntawm kev kub siab. Ua raws li cov lus qhia no los pab txo koj cov ntshav siab:

  • Noj cov khoom noj uas muaj ntsev kom tsawg.
  • Tsis txhob nphoo ntsev ntxiv rau cov zaub mov.
  • Poob ceeb thawj yog tias koj rog dhau.
  • Zam txhob haus cawv.

Koj tus kws kho mob yuav qhia kom koj ua raws li cov zaub mov tsis muaj rog thiab tsis muaj protein ntau.

Kev tawm dag zog

Raws li koj tus kws kho mob cov lus pom zoo, kev tawm dag zog txhua hnub kuj tseem ceeb.

Tshuaj

Cov neeg feem ntau uas muaj ntshav qab zib hom 2 uas muaj ntshav siab noj angiotensin hloov enzyme (ACE) inhibitors kev kho mob plawv, xws li captopril thiab enalapril. Cov tshuaj no tseem muaj peev xwm txo qis kev muaj mob ntawm lub raum.

Cov kws kho mob feem ntau kuj tau hais txog tshuaj thaiv tus mob angiotensin.

Lwm txoj hauv kev xaiv tau rau cov neeg muaj ntshav qab zib hom 2 thiab mob raum ntev yuav yog kev siv tshuaj sodium-glucose cotransporter-2 inhibitor lossis glucagon-zoo li peptide-1 receptor agonist. Cov tshuaj no tuaj yeem txo qis kev mob raum thiab mob plawv.

Txiav kev haus luam yeeb

Yog koj haus luam yeeb, koj yuav tsum nres tam sim ntawd. Raws li kev tshawb nrhiav tawm xyoo 2012 hauv luam yeeb, luam yeeb yog qhov tsim muaj kev pheej hmoo rau kev mob raum.

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